DR. RORY FLEMING RICHARDSON (NPI# 1629051776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629051776 |
| Entity Type | Individual |
| Full Name | DR. RORY FLEMING RICHARDSON |
| Credential | PH.D., FICPPM |
| Practice Address |
4466 Ne Devils Lake Blvd Suite A Lincoln City OR 97367-5197 |
| Mailing Address |
P.o. Box 109 Lincoln City OR 97367-0109 |
| Practice Telephone | 5419944462 |
| Practice Fax Number | 5419946329 |
| Mailing Telephone | 5419944462 |
| Mailing Fax Number | 5419946329 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2009-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
C0068 | OR | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 1249 | OR | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 1249 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | REGENCE BLUE CROSS BLUE S | 069078000 | 01 |
| OR | PACC HMO | R 7WBQ0 | 01 |
| OR | MENTAL HEALTH NETWORK | 171641 | 01 |
| OR | STATE OF OREGON DDS | 090021822 | 01 |
| OR | 150576 | 05 | |
| MEDICARE NORIDIAN EDI | OR00543 | 01 | |
| OR | 092951 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093037004 | Rory M. Richardson | Pharmacist | 1445 S Power Rd, Mesa, AZ 85206-3705 | 2010-02-17 |
| 1659567808 | Rory David Richardson | Family Medicine | 250 Pleasant St, Concord, NH 03301-7539 | 2007-09-21 |
| Street Address |
4466 NE DEVILS LAKE BLVD SUITE A |
| City | LINCOLN CITY |
| State | OR |
| Zip Code | 97367-5197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992059133 | Chyril Walker Phd PC | Psychologist | 4466 Ne Devils Lake Blvd, Ste A, Lincoln City, OR 97367-5197 | 2012-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256121 | Amanda Suzanne Cherryholmes | Peer Specialist | 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367 | 2019-07-08 |
| 1982198719 | Lakeside Family Dentistry | Dentist | 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 | 2018-06-15 |
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1508130196 | Michelle Marie Becker | Pharmacist | 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 | 2012-02-29 |
| 1457651465 | Laurene Norelle Alcocer | Pharmacist | 4048 Ne Hwy 101, Lincoln City, OR 97367 | 2010-10-25 |
| 1518106228 | Estate of Kevin L. Chancellor | Dentist | 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2009-02-19 |
| 1346403656 | Lincoln City Pharmacy & Gifts | Pharmacy | 1800 Se Hwy 101, Suite C, Lincoln City, OR 97367 | 2008-07-07 |
| 1841487139 | Assisted Living Concepts Inc | Assisted Living Facility | 1400 Se 19th, Lincoln City, OR 97367 | 2007-10-01 |
| 1376741074 | Frank Wesley Nettleship | Dentist | 9101 Keys Place, Lincoln City, OR 97367 | 2007-07-05 |
| 1306043989 | Julie Anne Bass | Case Manager/Care Coordinator | 4402 Devils Lake Blvd #2, Lincoln City, OR 97367 | 2007-06-28 |
| Find all providers in zip 97367 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584398 | Benjamin Laliberte | Psychologist | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2018-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1407453889 | Larissa Catherine Miller | Psychologist | 2920 Alder St, Eugene, OR 97405-4146 | 2020-10-08 |
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1619583408 | Kyleemillerphd | Psychologist | 586 Welcome Way Se, Salem, OR 97302-3932 | 2020-09-17 |
| 1740890771 | Marion David | Psychologist | 8228 Sw 171st Place, First Floor, Beaverton, OR 97007-6787 | 2020-08-04 |
| 1679182364 | Psychological Services of Pendleton, LLC | Psychologist | 1100 Southgate Ste 13, Pendleton, OR 97801-3973 | 2020-07-28 |
| 1497373021 | Jennifer Schmidt | Psychologist | 995 Stonewater Dr., Eagle Point, OR 97524 | 2020-07-09 |
| 1063039592 | Cyti Psychology LLC | Psychologist | 12205 Sw Tualatin Rd Ste 270, Tualatin, OR 97062-7623 | 2020-06-30 |
| 1811518434 | Nathaniel Israel | Psychologist | 7419 Se Woodstock Blvd, Portland, OR 97206-5838 | 2020-05-05 |
| 1477198315 | Emi Sumida Brown | Psychologist | 993 Nw Circle Blvd Ste A, Corvallis, OR 97330-1408 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN CITY |
| Zip Code | 97367 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.